| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $323.59 | $602.56 | |
Aetna
| Professional | $79.43 | $107.15 | $812.83 | |
BCBS
| Facility | $223.87 | $295.12 | $575.44 | |
BCBS
| Professional | $177.83 | $190.55 | $199.53 | |
Cigna
| Professional | $93.33 | $234.42 | $295.12 | |
Medica
| Facility | $74.13 | $229.09 | $575.44 | |
Medica
| Professional | $51.29 | $74.13 | $436.52 | |
Midlands
| Professional | $251.19 | $316.23 | $316.23 | |
Midlands
| Professional | $316.23 | $316.23 | $316.23 | |
United
| Facility | $51.29 | $114.82 | $245.47 | |
United
| Professional | $69.18 | $74.13 | $123.03 |